Amy Jolley, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

622800 Issued in TX

Practice address

635 Stone Ave
Paris, TX 75460-9342

Phone

(903) 785-9900

Fax

(903) 785-9917

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1083983316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609342",
            "telephone_number": "903-785-9900",
            "fax_number": "903-785-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609342",
            "telephone_number": "903-785-9900",
            "fax_number": "903-785-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "AMY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "622800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Perez Corporation
• Johnson Chiropractic Center, PC
• Ryley Johnson, BSRT (R)(T)
• Nikki Lanelle Johnston, FNP
• Nikki Shannon Johnston, APRN, FNP-BC
• Brian Dion Jones, PHARMD
• Keelan Javorious Jones, DO
• Kyle Elliott Jones, M.D.
• Megan Michelle Jones
• Machender Reddy Kandadi, RPH., PHD

• Adult Health Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.